| NPI | 1265928816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 32523) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8006) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |