| NPI | 1871567248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT38253) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0229101) |
| 225100000X Physical Therapist (Licence: MA 8615) | |
| 225100000X Physical Therapist (Licence: RI PT01578) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2025-03-25 |