| NPI | 1861675498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15274) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008852) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2024-03-25 |