| NPI | 1124650999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40967) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PT028168) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2023-11-13 |