| NPI | 1043046279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017538) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070025491) |
| 225100000X Physical Therapist (Licence: OH PT019400) | |
| 225100000X Physical Therapist (Licence: FL PT36945) | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-08-18 |