| NPI | 1225769003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14.011252) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 11252) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |