| NPI | 1821860834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP025717T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015946) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-25 |