| NPI | 1639670177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP036662T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211773) |
| 225100000X Physical Therapist (Licence: FL PT33244) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2024-10-31 |