| NPI | 1952375594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 20240116) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25520) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2024-12-20 |