| NPI | 1912322876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26610) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206838) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |