| NPI | 1427595859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35984) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010976A) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2021-02-24 |