| NPI | 1770294894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27101) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP042271T) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2025-02-21 |