| NPI | 1871222356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23711) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015963) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2025-09-10 |