| NPI | 1033881800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015589) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2025-10-06 |