| NPI | 1356618953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL PT0005668) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT0005668) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT0005668) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT0005668) | |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2011-11-27 |