| NPI | 1841893195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046558) |
| 225100000X Physical Therapist (Licence: GA PT014738) | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-06-29 |