| NPI | 1487304044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: DE J10014912) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 300574) |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2024-07-18 |