| NPI | 1447864251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT36127) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT36127) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2022-04-22 |