| NPI | 1639848377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015582) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2026-06-11 |