| NPI | 1720153091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 16826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL pt16826) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2022-02-09 |