| NPI | 1477849750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38416) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8741) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2024-02-09 |