| NPI | 1891852604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007495) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23094) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2021-12-29 |