| NPI | 1255613501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871268) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC PT871268) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2025-10-09 |