| NPI | 1063723583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 23976) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6402) |
| 225100000X Physical Therapist (Licence: CA 30329) | |
| 225100000X Physical Therapist (Licence: NY 025997-1) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |