| NPI | 1750712352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35466) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23032) |
| 225100000X Physical Therapist (Licence: NY 037020) | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2024-07-18 |