| NPI | 1467790980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27663) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2020-10-23 |