| NPI | 1669941647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34165) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2025-06-13 |