| NPI | 1265059232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12431) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014570) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-11-13 |