| NPI | 1649095746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: FL PT43332) | |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2025-09-11 |