| NPI | 1699662072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP046360T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02344300) |
| 225100000X Physical Therapist (Licence: CO CP048184T) | |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-09-03 |