| NPI | 1881459485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY CP039878T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 15164) |
| 225100000X Physical Therapist (Licence: GA CP033226T) | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2025-02-26 |