| NPI | 1386232007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.025980) |
| 225100000X Physical Therapist (Licence: PA PT029912) | |
| 225100000X Physical Therapist (Licence: WI 15725-24) | |
| 225100000X Physical Therapist (Licence: TX 1311221) | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2022-03-10 |