| NPI | 1417264771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 20743) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 02700) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |