| NPI | 1689312951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41496) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21553) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-05-21 |