| NPI | 1891593422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017557) |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: GA PT017557) |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: AL PTH11735) | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-10-28 |