| NPI | 1205513157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017488) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5761) |
| 225100000X Physical Therapist (Licence: WV PT004701) | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-12-11 |