| NPI | 1700356169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9451) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013757) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2024-07-17 |