| NPI | 1821872003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009091) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 009091) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-08-30 |