| NPI | 1699155291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209340) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-01-19 |