| NPI | 1679098529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36519) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MP 0048) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2024-01-31 |