| NPI | 1225177637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5083) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22207) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-11-11 |