| NPI | 1730581521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36678) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010419A) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2021-02-26 |