| NPI | 1831816578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015350A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050965-01) |
| 225200000X Physical Therapy Assistant (Licence: NY 012147-01) | |
| 225100000X Physical Therapist (Licence: MI 5501303279) | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2025-10-31 |