| NPI | 1093194250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33926) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0003330) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2018-11-19 |