| NPI | 1003160896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27401) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: FL PT27401) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2023-10-09 |