| NPI | 1922669423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013971) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9748) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-01-06 |