| NPI | 1649955451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL26945) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-06-09 |