| NPI | 1891107256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 29082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208518) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-21 |