| NPI | 1467137869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-8611) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2024-08-20 |