| NPI | 1174929293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15205) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28486) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2015-07-16 |