| NPI | 1811941131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT32756) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02011) |
| 225100000X Physical Therapist (Licence: MA 16392) | |
| 174400000X Specialist (Licence: AZ 9000) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-07-26 |