| NPI | 1487798336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008765) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT15549) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2025-12-31 |