| NPI | 1053590125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23535) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P11371) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2024-11-22 |