| NPI | 1346048956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP042885T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT017628) |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-04-10 |