| NPI | 1013613306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39960) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 39960) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-03-19 |