| NPI | 1831750934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34563) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027716) |
| 225100000X Physical Therapist (Licence: GA PT014504) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-10-09 |