| NPI | 1063398444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009405) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP049235T) |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-09-04 |