| NPI | 1922254515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 05621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008003) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2023-12-27 |