NPI | 1811694359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016432) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT40003) |
Enumeration Date | 2023-02-15 |
Last Update Date | 2025-06-11 |