| NPI | 1598006421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28095) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5866) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2022-11-11 |