| NPI | 1316692734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP027964T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047285-01) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2024-08-21 |