| NPI | 1942439179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22462) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210846) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2020-06-22 |