| NPI | 1265612337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT001796) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA PT001796) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2025-06-02 |