| NPI | 1285987255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305001715) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |