| NPI | 1063715514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 006835) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT006835) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2025-05-31 |