| NPI | 1639055577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44907) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305217269) |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2026-08-03 |