| NPI | 1134552037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33096) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10468) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2018-05-15 |