| NPI | 1669161063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40087) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-07-24 |