| NPI | 1114246485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT21582) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT005194) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2013-07-31 |