| NPI | 1225711575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016758) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP038910T) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2025-01-22 |