| NPI | 1467724898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38994) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH6264) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2022-10-21 |