| NPI | 1578179891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP011431T) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305213913) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2022-04-21 |