| NPI | 1457609687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-019396) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2018-09-13 |