| NPI | 1659092427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39313) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 16959) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2026-01-02 |