| NPI | 1730412354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1254561) |
| 2251C2600X Physical Therapist Cardiopulmonary (Licence: FL PT35350) | |
| 2251G0304X Physical Therapist Geriatrics (Licence: FL PT35350) | |
| 2251P0200X Physical Therapist Pediatrics (Licence: FL PT35350) | |
| 2251S0007X Physical Therapist Sports (Licence: FL PT35350) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: FL PT35350) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2022-01-18 |