| NPI | 1336633973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13019) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-02-16 |