| NPI | 1700495421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35675) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1323917) |
| 225100000X Physical Therapist (Licence: AR PT4675) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-10-13 |