| NPI | 1437654431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013210) |
| 225100000X Physical Therapist (Licence: CA PT294833) | |
| 225100000X Physical Therapist (Licence: ID PT-8449) | |
| 225100000X Physical Therapist (Licence: TX 1353937) | |
| 225100000X Physical Therapist (Licence: NC P21338) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2026-01-15 |