| NPI | 1508423989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30564) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 10544180-2401) |
| 225100000X Physical Therapist (Licence: AK 131331) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |