| NPI | 1265717920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24836) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2018-10-18 |