| NPI | 1245934785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT40076) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT40076) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2026-04-06 |