| NPI | 1083362313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015807) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |