| NPI | 1447864251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT36127) |
| 225100000X Physical Therapist (Licence: SC 12104) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: FL PT36127) | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2025-07-16 |