| NPI | 1902636632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38810) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |