| NPI | 1801208368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25362) |
| 225100000X Physical Therapist (Licence: CA 300905) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-08-10 |