| NPI | 1174246763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: SC 11469) |
| 225100000X Physical Therapist (Licence: GA PT017101) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2025-09-29 |