| NPI | 1942549316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT28296) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT39412) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2021-06-22 |