| NPI | 1699249292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13910) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013854) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2021-10-11 |