| NPI | 1700635356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP031524T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP027948T) |
| 225100000X Physical Therapist (Licence: MS PT7699) | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-19 |