| NPI | 1396765350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32743) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 004133) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-02-25 |