| NPI | 1750925905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015193) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9640) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2021-05-27 |