| NPI | 1801246483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31495) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5107) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |