| NPI | 1104101138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26793) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT26793) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2023-05-12 |