| NPI | 1811105463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28222) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH4773) |
| 225100000X Physical Therapist (Licence: MS PT4492) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-05-17 |