| NPI | 1760022826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014471) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-02-24 |