| NPI | 1740761527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P100244E) |
| 225100000X Physical Therapist (Licence: FL PT33783) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2022-01-25 |