| NPI | 1942647300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP008641T) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 14155) |
| Enumeration Date | 2013-05-25 |
| Last Update Date | 2021-12-01 |