| NPI | 1316559818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P100114E) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13016) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2024-09-04 |