| NPI | 1720912306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP058429T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2026023281) |
| Enumeration Date | 2026-06-10 |
| Last Update Date | 2026-06-10 |