| NPI | 1700657152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29470) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-10-07 |