| NPI | 1336692987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210544) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2021-07-09 |