| NPI | 1982960878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000008062) |
| 225100000X Physical Therapist (Licence: MI 5501013725) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-03-13 |