| NPI | 1568248532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP055557T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP033678T) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2026-05-10 |