| NPI | 1730511312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33441) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7108) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-08-01 |