| NPI | 1992523849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12451) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016076) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-05-01 |