| NPI | 1720876394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017140) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH12214) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-12-30 |