| NPI | 1750909016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25302) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-05-01 |