| NPI | 1255529079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 23557) |
| 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-9465) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2021-02-15 |