| NPI | 1952890477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35699) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9007) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2022-10-24 |