| NPI | 1649810532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015005) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: SC CP024799T) | |
| 225100000X Physical Therapist (Licence: NC CP024798T) | |
| 225100000X Physical Therapist (Licence: FL PT40908) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2025-09-12 |