| NPI | 1386761740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007609) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05005038A) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-04-24 |