| NPI | 1568905784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-4263) |
| 225100000X Physical Therapist (Licence: LA 08916) | |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2021-10-28 |