| NPI | 1902684855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017458) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14927) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-12-03 |