| NPI | 1003625492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 013299) |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2025-01-08 |