| NPI | 1215240122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7255PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34893) |
| 225100000X Physical Therapist (Licence: FL PT249600) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |