| NPI | 1083438717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP054084T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP038476T) |
| 225100000X Physical Therapist (Licence: KY 009236) | |
| 225100000X Physical Therapist (Licence: WA CP042605T) | |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2026-04-06 |