| NPI | 1528398872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0006886) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5390) |
| 225100000X Physical Therapist (Licence: VA CP022011T) | |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2025-09-12 |