| NPI | 1578170213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35717) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 298389) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |