| NPI | 1912543729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016402) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35381) |
| 225100000X Physical Therapist (Licence: NC P19203) | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2024-04-22 |