| NPI | 1346065687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP037335T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 30234) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |