| NPI | 1992182687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 30008) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 30008) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2019-01-14 |