| NPI | 1144059783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39205) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216552) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |