| NPI | 1831524966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33143) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 5365) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TN 5365) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2019-06-13 |