| NPI | 1003961509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20708) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-07-19 |