| NPI | 1174825905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27382) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 07967) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2014-06-24 |