| NPI | 1215136791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014990) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23327) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2025-04-15 |