| NPI | 1538512132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014536) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210282) |
| 225100000X Physical Therapist (Licence: WI 13523-24) | |
| 225100000X Physical Therapist (Licence: SC PT.8226 PT) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2023-06-29 |