| NPI | 1295571750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 234157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 15553) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-05-21 |