| NPI | 1689033714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT32388) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012271) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2023-04-19 |