| NPI | 1609321975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31718) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2019-10-03 |