| NPI | 1821865833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL FL43115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 26888) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2025-07-08 |