| NPI | 1003265430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15705) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31486) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2025-06-25 |