| NPI | 1093967879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 24326) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24326) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2020-04-17 |