| NPI | 1942479183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32510) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CA PT 21680) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2025-08-06 |