| NPI | 1619711447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP038593T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015582A) |
| 225100000X Physical Therapist (Licence: ND CP031949T) | |
| 225100000X Physical Therapist (Licence: MI 5501303289) | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-01-02 |