| NPI | 1134630353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33061) |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: FL PT33061) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT33601) | |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2017-10-15 |