| NPI | 1346953114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34582) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 34582) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |