| NPI | 1215712260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 42985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 15067) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-07-09 |