| NPI | 1902427636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 160680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0017161) |
| 225100000X Physical Therapist (Licence: UT 13461997-2401) | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2025-07-23 |