| NPI | 1104651017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP048940T) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2026-04-14 |