| NPI | 1326302811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3714) |
| 225100000X Physical Therapist (Licence: MD 23063) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-02-06 |