| NPI | 1699212019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36932) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8476) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2021-06-14 |