| NPI | 1215409768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT11403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 11403) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |