| NPI | 1528418183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16267) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 30612) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-03-11 |