| NPI | 1215660261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38909) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTT38909) |
| 225100000X Physical Therapist (Licence: PT38909) | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-08-08 |