| NPI | 1740687284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015387) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT009167) |
| Enumeration Date | 2014-11-27 |
| Last Update Date | 2021-07-15 |