| NPI | 1841938032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10014589) |
| 225100000X Physical Therapist (Licence: PA PT031335) | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-07-24 |