| NPI | 1396498630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP010380T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11027) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-02-08 |