| NPI | 1720329196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 011159) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2025-07-01 |