| NPI | 1932474921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-011337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008899) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2021-04-27 |