| NPI | 1689334393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13619) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2023-05-05 |