| NPI | 1437266715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4774) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 182591) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2025-09-11 |