| NPI | 1609240381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29819) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1254260) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |