| NPI | 1598542839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016756) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN CP025105T) |
| 225100000X Physical Therapist (Licence: VA CP026851T) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-04-04 |