| NPI | 1710642293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015570) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PT015570) |
| 225100000X Physical Therapist (Licence: FL 37734) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2022-03-25 |