| NPI | 1215178686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT7208) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PT7208) |
| 225100000X Physical Therapist (Licence: FL 007208) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2025-07-17 |