| NPI | 1164977989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5775) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA4132) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2026-02-16 |