| NPI | 1033997317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT016883) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 016883) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |