| NPI | 1447927355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT37132) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37132) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-05-09 |