| NPI | 1720658958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT24914) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24914) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-09-16 |