| NPI | 1427664705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: FL TC868) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT35598) |
| 225100000X Physical Therapist (Licence: FL 35598) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2025-09-17 |