| NPI | 1912554700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10645) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 014158) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2025-04-08 |