| NPI | 1861002024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4374) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014604) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2021-08-04 |