| NPI | 1184640245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26033) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT32904) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-05-16 |