| NPI | 1821581257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014071) |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: GA PT014071) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-03-20 |