| NPI | 1295292555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP037069T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013143) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2024-11-13 |