| NPI | 1508481938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40856) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19565) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-01-11 |