| NPI | 1982812111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 30250) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026663) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2025-08-20 |