| NPI | 1356172027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30134) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41893) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-09-04 |