| NPI | 1720413149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT-023124) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2023-11-21 |