| NPI | 1598450223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT32936) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 32936) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-04-21 |