| NPI | 1831447481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009552) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011270) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-11-11 |