| NPI | 1962430249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL pt 19499) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-09-08 |