| NPI | 1922059450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT40841) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT291674) |
| 225100000X Physical Therapist (Licence: NC 8157) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-11-11 |