| NPI | 1801433958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18088) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27089) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2025-09-03 |