| NPI | 1417206798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 26596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207541) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2013-06-20 |