| NPI | 1639466212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14783) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23686) |
| 225X00000X Occupational Therapist (Licence: MD 06701) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2024-11-07 |