| NPI | 1588319941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP058313T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12901) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2026-06-24 |