| NPI | 1720556624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013789) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2023-10-03 |