| NPI | 1023895232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11317) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP055375T) |
| 225100000X Physical Therapist (Licence: MT CP059760T) | |
| 225100000X Physical Therapist (Licence: GA CP034922T) | |
| 225100000X Physical Therapist (Licence: NH CP044750T) | |
| 225100000X Physical Therapist (Licence: NC CP038712T) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2026-08-04 |