| NPI | 1902110935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14532) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010038) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2024-02-12 |