| NPI | 1760263768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016762) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24481) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |