| NPI | 1508608530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 44161) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1406973) |
| 225100000X Physical Therapist (Licence: IL 070028267) | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2026-01-08 |