| NPI | 1073448346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC CP052286T) |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-26 |