| NPI | 1912942954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10677) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008410) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-04-04 |