| NPI | 1982959581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP032594T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0011815) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2024-12-03 |