| NPI | 1871790246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT33148) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-05-30 |