| NPI | 1447828512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 015120) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PR 922) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-23 |