| NPI | 1528864436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP054390T) |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2026-03-19 |