| NPI | 1588599757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP058665T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1408409) |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-06-17 |