| NPI | 1831226836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5008) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 5008) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-09-11 |