| NPI | 1760099022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41620) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020025346) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-06-13 |