| NPI | 1902272487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31203) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13033-24) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2016-09-13 |