| NPI | 1699089912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4323) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2021-05-20 |