| NPI | 1982777025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CPO37378T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 02243) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-12-06 |