| NPI | 1194970251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35708) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10492) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2022-03-14 |