| NPI | 1407621246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP050833T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016961) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2026-01-26 |