| NPI | 1689158859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1310757) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2020-07-11 |