| NPI | 1780322446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP024268T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP017195T) |
| 225100000X Physical Therapist (Licence: IN 05014634A) | |
| 225100000X Physical Therapist (Licence: MO CP019105T) | |
| 225100000X Physical Therapist (Licence: WI 15797-24) | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-08-09 |