| NPI | 1700369097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7956) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011985) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-10-05 |