| NPI | 1992346027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44568) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213093) |
| 225100000X Physical Therapist (Licence: CO CP026394T) | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2026-06-02 |