| NPI | 1346225893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38042) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT013721) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2025-06-06 |