| NPI | 1497801799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 51357272401) |
| 225100000X Physical Therapist (Licence: FL 7935) | |
| 225100000X Physical Therapist (Licence: IL 070-005373) | |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2025-01-22 |