| NPI | 1225359706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 32183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 32783) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2017-02-13 |