| NPI | 1730598939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011583) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 011583) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2025-07-21 |