| NPI | 1497265771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5153) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-05-05 |