| NPI | 1578959102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11629) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021010892) |
| 225100000X Physical Therapist (Licence: FL PT-29768) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2024-03-06 |