| NPI | 1073171492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP046971T) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2025-08-14 |