| NPI | 1679945018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016346) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7879) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2023-02-08 |