| NPI | 1285933481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT25944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25944) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2025-08-06 |