| NPI | 1841069606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT18750) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 18750) |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-02-20 |