| NPI | 1790085272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212770) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT25192) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2020-03-17 |