| NPI | 1275917791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 29139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9773) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2016-01-21 |