| NPI | 1841982683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP035267T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 13395772-2401) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-11-13 |