| NPI | 1689169617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34335) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9154) |
| 225100000X Physical Therapist (Licence: WI 14181) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-11-21 |