| NPI | 1427831205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016780) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2025-05-01 |