| NPI | 1033481338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35463) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020676) |
| 225100000X Physical Therapist (Licence: MD 23325) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2023-04-03 |