| NPI | 1477821205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL pth5512) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010873) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2026-07-09 |