| NPI | 1508579921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070027500) |
| 225100000X Physical Therapist (Licence: WY 2268) | |
| 225100000X Physical Therapist (Licence: NM PT-2023-2141) | |
| 225100000X Physical Therapist (Licence: CO PTL.0016938) | |
| 225100000X Physical Therapist (Licence: AK 206397) | |
| 225100000X Physical Therapist (Licence: ID 8670) | |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-05-31 |