| NPI | 1982176954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP004671T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2021-04-12 |