| NPI | 1013432269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32866) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL PT32866) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-11-13 |