| NPI | 1932954641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11227) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013484) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |