| NPI | 1447996269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14696) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38263) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2023-01-17 |