| NPI | 1386464741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT018182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT42131) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2026-08-05 |