| NPI | 1851754527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 3986) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 31222) |
| 225100000X Physical Therapist (Licence: VA 2305004044) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |