| NPI | 1881805497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41784) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17822) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-04-14 |