| NPI | 1609343326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33829) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015980) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2023-08-01 |