| NPI | 1861015554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT35158) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT35158) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-10-20 |