| NPI | 1609467612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PTH015140) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2025-03-10 |