| NPI | 1710109483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27345) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL PT27345) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-07-25 |