| NPI | 1073802831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT30681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1087294) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2015-09-29 |