| NPI | 1316981376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007689) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT7689) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-02-18 |