| NPI | 1518398445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28620) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 28620) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2026-05-05 |