| NPI | 1760368666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44612) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P24332) |
| 225100000X Physical Therapist (Licence: GA CP051145T) | |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2026-05-18 |