| NPI | 1992184733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 30449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209382) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-09-02 |