| NPI | 1649675018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 32714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2007008448) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2017-12-12 |