| NPI | 1811700370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-034706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016774) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2026-03-10 |