| NPI | 1427568302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2017027001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10367) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2025-10-31 |