| NPI | 1780923656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19554) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 28055) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2020-10-08 |