| NPI | 1427290790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24302) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2016-04-18 |