| NPI | 1518384528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT32342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18526) |
| 225100000X Physical Therapist (Licence: FL 32342) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-08-26 |