| NPI | 1164149225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016765) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 26257) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2026-05-27 |