| NPI | 1154732493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30669) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41132) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2015-10-21 |