| NPI | 1295455822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40426) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 32852) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2024-02-22 |