| NPI | 1295005833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 35186) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19801) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2022-04-21 |