| NPI | 1689352221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 39353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 20720) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-11 |