| NPI | 1972046365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT38896) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017024080) |
| 225100000X Physical Therapist (Licence: GA CP014489T) | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2023-09-27 |