| NPI | 1992684997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24035) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP046975T) |
| 225100000X Physical Therapist (Licence: NJ CP046536T) | |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |