| NPI | 1366033367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 36150) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL 36150) |
| 2251N0400X Physical Therapist, Neurology (Licence: FL 36150) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |