| NPI | 1891253134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24619) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013008) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2026-03-13 |