| NPI | 1366966475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34711) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11246) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2019-07-19 |