| NPI | 1033680848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34218) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT34218) |
| 225100000X Physical Therapist (Licence: CA 299214) | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2024-09-25 |