| NPI | 1386744100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 28407) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 11-01533) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-10-15 |