| NPI | 1811558877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20049) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013938) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2021-04-19 |