| NPI | 1467605600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 24340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19601) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2020-11-17 |