| NPI | 1881966703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.001799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7823) |
| 225100000X Physical Therapist (Licence: GA PT101556) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2024-07-10 |