| NPI | 1891394680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31521) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046361) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: MT LPT-31521) | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2024-04-23 |