| NPI | 1801019708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19571) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT19571) |
| 225100000X Physical Therapist (Licence: NC P17203) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: OH PT020341) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-06-29 |