| NPI | 1457198335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12660) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND CP031858T) |
| 225100000X Physical Therapist (Licence: AR PT5020) | |
| 225100000X Physical Therapist (Licence: TX CP026561T) | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2025-01-03 |