| NPI | 1477649002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 0009027) |
| Additional Taxonomies | 171W00000X Contractor (Licence: GA PT009027) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-03-05 |