| NPI | 1093898991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016970) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY PT 1072) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-09-11 |