| NPI | 1386483519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017081) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP031484T) |
| 225100000X Physical Therapist (Licence: VA CP044682T) | |
| 225100000X Physical Therapist (Licence: AZ CP034813T) | |
| 225100000X Physical Therapist (Licence: WA CP038935T) | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2025-06-11 |