| NPI | 1225667058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: DC PT872159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872159) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2026-09-28 |