| NPI | 1679974745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36278) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15181) |
| 225100000X Physical Therapist (Licence: GA PT013235) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2020-12-21 |