| NPI | 1417212986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 27341) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |