| NPI | 1932687639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: FL 37437) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 17908) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2021-08-23 |