| NPI | 1306248489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT30258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038211) |
| Enumeration Date | 2014-09-21 |
| Last Update Date | 2016-07-21 |