| NPI | 1821669458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39734) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 40QA02012400) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2022-12-15 |