| NPI | 1902919400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22085) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 024858-1) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2025-09-21 |