| NPI | 1881838258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 5600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6905) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2025-05-29 |