| NPI | 1457218570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: SC 3368) |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |