| NPI | 1922115336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT0007505) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0020187) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2026-01-19 |