| NPI | 1356175830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43578) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 27799) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-08-18 |