| NPI | 1811944317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007815) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD002682) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-05-22 |