| NPI | 1821975913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT018163) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 13001) |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2026-04-17 |