| NPI | 1053785204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30641) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: FL PT30641) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |