| NPI | 1356946495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC PT12639) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22630) |
| 225100000X Physical Therapist (Licence: GA PT014998) | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2024-12-16 |