| NPI | 1982737920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 23473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 006691) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-08-24 |