| NPI | 1699449017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015450) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT1015450) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-27 |