| NPI | 1013306828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26688) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4239) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2019-10-30 |