| NPI | 1235662875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 12774) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10456) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-11-13 |