| NPI | 1285241182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014785) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20567) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2023-03-01 |