| NPI | 1174852446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT25188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PT10553) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |