| NPI | 1780217596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP004874T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6857) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2021-06-16 |