| NPI | 1851968093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP050212T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10498) |
| 225100000X Physical Therapist (Licence: SC 12271) | |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: TN 16458) | |
| 225100000X Physical Therapist (Licence: NC P23347) | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-10-14 |