| NPI | 1548118953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23478) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP054517T) |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-03-20 |