| NPI | 1437506060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30748) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16179) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2026-03-04 |