| NPI | 1407551278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20877) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP043994T) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2025-10-23 |