| NPI | 1720571755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013465) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211931) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-02-09 |