NPI | 1720521230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012353) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT012353) |
Enumeration Date | 2016-12-01 |
Last Update Date | 2022-01-14 |