| NPI | 1467790931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37075) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 002265) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2023-09-22 |