| NPI | 1538206727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35933) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR pt2593) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-12-16 |