| NPI | 1760830665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 30746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.022075) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |