| NPI | 1346709128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 34729) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 17387) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-02-22 |