| NPI | 1245366111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19741) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT19741) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-04-28 |