| NPI | 1750824884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 34268) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 016638) |
| 225100000X Physical Therapist (Licence: GA PT012666) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2019-07-02 |