| NPI | 1609413830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36205) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9983) |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2025-02-24 |