| NPI | 1275215592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT42679) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KY 008885) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-01-08 |