| NPI | 1184406399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39906) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT-2025-0241) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2025-08-21 |