| NPI | 1750268520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 310150) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT43619) |
| 225100000X Physical Therapist (Licence: TX 1407872) | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2026-05-26 |