| NPI | 1346899713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24470) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-11-15 |