| NPI | 1962050799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021005350) |
| 225100000X Physical Therapist (Licence: PA PT032137) | |
| 225100000X Physical Therapist (Licence: IL 070024666) | |
| 225100000X Physical Therapist (Licence: AK 221630) | |
| 225100000X Physical Therapist (Licence: HI PT-5894) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2024-04-30 |