| NPI | 1730962200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41172) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 121096) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-12-19 |