| NPI | 1992417240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022043945) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK CPO32145T) |
| 225100000X Physical Therapist (Licence: NC CP043096T) | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2025-03-25 |