| NPI | 1144668138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 29097) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9610) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2014-07-19 |