| NPI | 1275052292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013071) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045698) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2025-09-30 |