| NPI | 1255860631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P17431) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-09-26 |