| NPI | 1528782158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016488) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 011731) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2023-03-13 |