| NPI | 1659002228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40235) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP017798T) |
| 225100000X Physical Therapist (Licence: OK 6225) | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-05-26 |