| NPI | 1013647049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP038987T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38677) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-01-03 |