| NPI | 1841540622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-9391) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009286) |
| 225100000X Physical Therapist (Licence: SC 5829) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2021-07-13 |