| NPI | 1104134758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010025) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA GA10025) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2025-01-23 |