| NPI | 1083013726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT-0014436) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PT-0014436) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2025-01-27 |