| NPI | 1851562912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29960) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 18569) |
| 225100000X Physical Therapist (Licence: VA 2305005251) | |
| 225100000X Physical Therapist (Licence: NH 3682) | |
| 225100000X Physical Therapist (Licence: MA 10158) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2020-11-13 |