| NPI | 1659010304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43051) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14762) |
| 225100000X Physical Therapist (Licence: TN PT14762) | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2026-01-16 |