| NPI | 1336385517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029745-1) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2026-07-09 |