| NPI | 1962141390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT21169) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21104) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-04-30 |