| NPI | 1831462720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014047) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034707-1) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2022-11-03 |