| NPI | 1285743864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23076) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PR 1244) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2026-05-04 |