| NPI | 1205213618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23535) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7029) |
| 225100000X Physical Therapist (Licence: GA PT011825) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2024-09-08 |