| NPI | 1003298621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34307) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9965) |
| 225100000X Physical Therapist (Licence: IN 05011744A) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2019-01-14 |