| NPI | 1124290457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31633) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002227) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2023-10-13 |