| NPI | 1932084530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-2550) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23814) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-25 |