| NPI | 1689303877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2483) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2025-05-30 |