| NPI | 1528887718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 226714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 033670) |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-11-14 |