| NPI | 1992409056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt39896) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 39896) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-04-07 |