| NPI | 1720755481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015421) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2023-04-07 |