| NPI | 1003275967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 32357) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210066) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2017-04-10 |