| NPI | 1699411454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT42355) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21324) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-01-21 |