| NPI | 1982083986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15134) |
| 225100000X Physical Therapist (Licence: TX 1292146) | |
| 225100000X Physical Therapist (Licence: MD 27220) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2025-03-09 |