| NPI | 1215355987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 9976) |
| 225100000X Physical Therapist (Licence: TX 1241350) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-03-17 |