| NPI | 1174387906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT45029) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1389146) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2026-08-28 |