| NPI | 1396806071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41635) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9921) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-12-11 |