| NPI | 1588450514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP043616T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11915) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |