| NPI | 1366152027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016290) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP019162T) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-04-11 |