| NPI | 1932678240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39870) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 001245) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2023-03-03 |