| NPI | 1598404352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP011820T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14109) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-03-22 |