| NPI | 1770246985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37593) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT37593) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2023-03-01 |