| NPI | 1962818880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011851) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9928) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2025-06-24 |