| NPI | 1518644335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 20944) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2025-07-24 |