| NPI | 1639659089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013557) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10421) |
| 225100000X Physical Therapist (Licence: MS CP017600T) | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-09-27 |