| NPI | 1841233962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008558) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH4492) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-06-08 |