| NPI | 1265771505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28092) |
| 225100000X Physical Therapist (Licence: SC 8254) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2016-07-27 |