| NPI | 1740243047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT0001109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT40012) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2023-07-26 |