| NPI | 1780357749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT37555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 30033) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2025-09-02 |