| NPI | 1639726177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212500) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |