| NPI | 1316027055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 20354) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17163) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-04-06 |