| NPI | 1326523812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11138) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013698) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2026-08-19 |