| NPI | 1861277154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP044288T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12025) |
| 225100000X Physical Therapist (Licence: VA CP041068T) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-05-12 |