| NPI | 1336516772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34422) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 100735) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-06-27 |