| NPI | 1174068373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43294) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 16126) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2025-07-11 |