| NPI | 1205246071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT298393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036762) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0016119) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2025-07-08 |