| NPI | 1629964119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP049806T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P24126) |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-09-23 |