| NPI | 1972603892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33587) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305202926) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-04-16 |