| NPI | 1073056727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015733) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02954) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2025-07-11 |