| NPI | 1356201156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44527) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 009442) |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2026-04-23 |