| NPI | 1811241557 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT27892) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27892) | 
| Enumeration Date | 2012-11-02 | 
| Last Update Date | 2025-07-07 |