| NPI | 1689393787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-8919) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016185) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-10-11 |