| NPI | 1346559481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206637) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2012-10-25 |