| NPI | 1093892440 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 283X00000X Rehabilitation Hospital | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007392) | 
| Enumeration Date | 2006-11-01 | 
| Last Update Date | 2025-09-11 |