| NPI | 1992195044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30494) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10793) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2021-08-17 |