| NPI | 1144044215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23762) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-01-22 |