| NPI | 1811016447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38216) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 014637-1) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-06-28 |