| NPI | 1861153710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP014731T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0018065) |
| 225100000X Physical Therapist (Licence: CA 38938) | |
| 225100000X Physical Therapist (Licence: WA CP010044T) | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-08-24 |