| NPI | 1669858668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11243) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2024-10-25 |