| NPI | 1841391992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 30782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026411-1) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-08-07 |