| NPI | 1245693290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 053777) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012258) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2025-01-06 |