| NPI | 1801183389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35155) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13617) |
| 225100000X Physical Therapist (Licence: MD 23707) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-04-07 |