| NPI | 1689120321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 012447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT102447) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-09-15 |