| NPI | 1417048406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016028184) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22093) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2017-02-08 |