| NPI | 1639683584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17388) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NC P17388) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2025-01-16 |