| NPI | 1932616406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT38183) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 300084) |
| 225100000X Physical Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA 306003) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-12-05 |