| NPI | 1841597630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33274) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT004716) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2025-10-26 |