| NPI | 1558325472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 1224) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 493) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2021-08-23 |