| NPI | 1417000761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012555) |
| 225100000X Physical Therapist (Licence: NC P8759) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-09-29 |