| NPI | 1861136848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 38206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14512) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2024-02-22 |