| NPI | 1144405887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205376) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34437) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2019-11-12 |