| NPI | 1962431361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AL PTH2461) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH2461) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-12-18 |