| NPI | 1770268153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017704) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11491) |
| 2251C2600X | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251H1300X Physical Therapist, Human Factors | |
| 2251N0400X Physical Therapist, Neurology | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-06-16 |