| NPI | 1649036252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP027140T) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 11974) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-11-20 |