| NPI | 1992273114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011139) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2019-06-14 |