| NPI | 1073430419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44790) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PTT44790) |
| Enumeration Date | 2026-07-06 |
| Last Update Date | 2026-09-04 |