| NPI | 1083940027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28755) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9408) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2013-12-11 |