| NPI | 1689978181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013247) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9096) |
| 225100000X Physical Therapist (Licence: KY 005821) | |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2021-02-12 |