| NPI | 1043574593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24491) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA N18989) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2026-01-21 |