| NPI | 1013138908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7417) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 009058) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2025-07-23 |