| NPI | 1740736883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012539) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-08-08 |