| NPI | 1588118384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27306) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12510) |
| 225100000X Physical Therapist (Licence: FL 31689) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2018-12-20 |