| NPI | 1922508613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28857) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027442) |
| 225100000X Physical Therapist (Licence: AR PT4428) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2023-10-10 |