| NPI | 1669920914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012619) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2020-09-09 |