| NPI | 1144542341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30943) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT 30943) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL2220) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2022-06-22 |