| NPI | 1285877076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24213) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8844) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2019-02-08 |