| NPI | 1467198929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT42272) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11165) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2024-08-29 |