| NPI | 1831655695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35390) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013761A) |
| 225100000X Physical Therapist (Licence: MA 24892) | |
| 225100000X Physical Therapist (Licence: SC PT.9746) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2022-08-22 |