| NPI | 1629512520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 32072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11186) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-03-29 |