| NPI | 1588274609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2021002417) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014687) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2021-01-21 |