NPI | 1255100731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT41019) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2023-12-26 |
Last Update Date | 2025-05-13 |