| NPI | 1649947094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP033153T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015494) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2024-09-25 |