| NPI | 1871299578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4696) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0018928) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-08-29 |