| NPI | 1699253641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 013024) |
| 225100000X Physical Therapist (Licence: RI PT03373) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-01-26 |