| NPI | 1275227837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE CP031747T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP034870T) |
| 225100000X Physical Therapist (Licence: MD 29446) | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-10-08 |