| NPI | 1730944141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41874) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22991) |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2025-01-12 |