| NPI | 1508381310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32887) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-06-01 |