| NPI | 1861523227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2005013025) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-03-16 |