| NPI | 1578286191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL88911) |
| 225100000X Physical Therapist (Licence: CO CP049712T) | |
| 225100000X Physical Therapist (Licence: SC 12592) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2026-08-17 |