| NPI | 1154643054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 29218) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36410) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2014-10-13 |