| NPI | 1467744839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31574) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9567) |
| 225100000X Physical Therapist (Licence: OH 011747) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2017-03-07 |