| NPI | 1811347545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012373) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9245) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2019-01-10 |