| NPI | 1376243311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 008596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA GA008596) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-02-23 |