| NPI | 1518290899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 1014649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18810) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2025-11-12 |