| NPI | 1770325607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017718) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-05-30 |