| NPI | 1023591526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017608) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2026-08-05 |