| NPI | 1386259638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014952) |
| 225100000X Physical Therapist (Licence: VA CP027250T) | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-05-23 |