| NPI | 1770662660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH2382) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA GA006565) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-05-09 |