| NPI | 1952708083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012282) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8714) |
| 225100000X Physical Therapist (Licence: TX 1223008) | |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2020-11-18 |