| NPI | 1750094447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1340584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05014447A) |
| 225100000X Physical Therapist (Licence: NJ 40QA02018500) | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |