| NPI | 1467437301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 27972) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2026-03-20 |