| NPI | 1467882126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32013) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT32013) |
| Enumeration Date | 2013-11-17 |
| Last Update Date | 2022-08-09 |