| NPI | 1336824010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14028) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13797) |
| 225100000X Physical Therapist (Licence: NC P20516) | |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |