| NPI | 1184632812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19557) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12601) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-03-12 |