| NPI | 1831544014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012421) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2020-12-20 |