| NPI | 1649198508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 17504) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT018287) |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-15 |