| NPI | 1396223483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43859) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007440) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TN 16451) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2025-10-10 |