| NPI | 1528585320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016468) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040636-1) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2025-06-11 |