| NPI | 1659137511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT41403) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-06-06 |