| 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 |