| NPI | 1366819542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38440) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25637) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2022-10-11 |