| NPI | 1730748310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20266) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014501) |
| 225100000X Physical Therapist (Licence: SC 9855) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2021-10-20 |