| NPI | 1215681259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38333) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT38333) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-05-19 |