| NPI | 1689146755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014445) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CT 11632) |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2020-01-07 |