| NPI | 1396047536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13585) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 25890) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2016-06-13 |