| NPI | 1891365979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41476) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015369) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-04-15 |