| NPI | 1316178965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30912) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020134) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2017-03-02 |