| NPI | 1801856448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 034402) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2025-10-07 |