| NPI | 1700211836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT018142) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA22370) |
| 225200000X Physical Therapy Assistant (Licence: GA PTA002943) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2026-01-07 |