| NPI | 1831846872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017467) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 048196) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2025-03-11 |