| NPI | 1407460405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050295) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 191429) |
| 225100000X Physical Therapist (Licence: TX 1338190) | |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2023-07-28 |