| NPI | 1598062853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt28730) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206815) |
| 225100000X Physical Therapist (Licence: NC P20025) | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2023-09-01 |