| NPI | 1750587341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP014353T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 07131) |
| 225100000X Physical Therapist (Licence: GA PT009301) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2022-07-26 |