| NPI | 1457082323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022021424) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41129) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2025-04-14 |