| NPI | 1578702494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT21768) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02067) |
| 225100000X Physical Therapist (Licence: FL 21768) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2022-07-21 |