| NPI | 1730117284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT005657) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH3178) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-12-21 |