| NPI | 1487826475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 8205) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008205) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2024-02-13 |