| NPI | 1992969265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2008004268) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23929) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |