| NPI | 1629317201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210866) |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2026-03-11 |