| NPI | 1548429004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10130) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24062) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2023-03-29 |