| NPI | 1619584166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44121) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13274) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2025-12-10 |