| NPI | 1275689754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT2449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022715) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-08-09 |