| NPI | 1811326218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011283) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT011283) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2021-10-07 |