| NPI | 1104041789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33117) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018669) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-04-26 |