| NPI | 1336970615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015691A) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-12-12 |