| NPI | 1306144035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7346) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 26054) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |