| NPI | 1053830182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 32860) |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2021-04-15 |