| NPI | 1477968519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT14032) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |