| NPI | 1255998415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT36938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013937) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2022-09-20 |