| NPI | 1730543059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 37797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7755) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-05-18 |