| NPI | 1740763911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4397) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013673) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |