| NPI | 1578041133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 36304) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 14379-24) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2022-11-27 |