| NPI | 1881491215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP049700T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23873) |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-10-02 |