| NPI | 1639651003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013526) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP042547T) |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2025-09-05 |