| NPI | 1295131191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 9234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27013) |
| 225100000X Physical Therapist (Licence: OR 60812) | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2020-03-31 |