| NPI | 1902916216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 017317) |
| 225100000X Physical Therapist (Licence: GA PT017089) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-10-31 |