| NPI | 1861116840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA CP018869T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016263) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-05-03 |