| NPI | 1093499576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41667) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-07355) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-11-18 |