| NPI | 1255376141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 019474) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT005840) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-02-28 |