| NPI | 1093406217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP052388T) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2026-01-21 |