| NPI | 1346657897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011494) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208681) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2020-08-25 |