| NPI | 1831635796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013861) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22779) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2019-02-20 |