| NPI | 1255910485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37060) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7113) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2023-06-12 |