| NPI | 1760809453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 32069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7308) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2019-01-17 |