| NPI | 1689015026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013495) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27492) |
| 225100000X Physical Therapist (Licence: SC 7411) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-06-09 |