| NPI | 1003420068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 36241) |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2023-10-10 |