| NPI | 1821665183 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP043261T)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013843)  | 
| Enumeration Date | 2021-06-07 | 
| Last Update Date | 2025-05-19 |