| NPI | 1700610854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP043217T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23417) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2025-08-22 |