| NPI | 1841649472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40167) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1274695) |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2023-05-12 |