| NPI | 1821765132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02025900) |
| 225100000X Physical Therapist (Licence: MA PTL26892) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-09-18 |