| NPI | 1104427491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015043) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-05-21 |