| NPI | 1427894674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP033249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12460) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-08-21 |