| NPI | 1730353509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305217458) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2025-11-21 |