| NPI | 1225326309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 25617) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206563) |
| 225100000X Physical Therapist (Licence: TN 0000008792) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |