| NPI | 1184173445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33490) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12843) |
| 225100000X Physical Therapist (Licence: VA 2305210612) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2025-07-15 |