| NPI | 1477812014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3806) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27307) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2018-05-04 |