| NPI | 1831817436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0018610) |
| 225100000X Physical Therapist (Licence: RI PT03978) | |
| 225100000X Physical Therapist (Licence: CT 14589) | |
| 225100000X Physical Therapist (Licence: VA 2305216911) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2025-08-11 |