| NPI | 1114303112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 34584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209658) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2025-04-16 |