| NPI | 1154529634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT28732) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2782) |
| 225100000X Physical Therapist (Licence: CO 9639) | |
| 225100000X Physical Therapist (Licence: FL 28732) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2024-10-03 |