| NPI | 1508018219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35925) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008138A) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2020-12-02 |