| NPI | 1194366906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38839) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP056165T) |
| 225100000X Physical Therapist (Licence: SC CP032508T) | |
| 225100000X Physical Therapist (Licence: CA 296510) | |
| 225100000X Physical Therapist (Licence: SC 12614) | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2026-05-14 |