| NPI | 1972627099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP015349T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC NC11417) |
| 225100000X Physical Therapist (Licence: VA 2305002783) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-11-06 |