| NPI | 1235171992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 18324) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT18324) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2021-06-07 |