| NPI | 1316174253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 24748) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2016-11-16 |