| NPI | 1063087773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP010441T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 004405) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2022-08-03 |