| NPI | 1740811603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33562) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT033752) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-10-20 |