| NPI | 1437228145 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31414) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA GA006979) | 
| Enumeration Date | 2006-11-07 | 
| Last Update Date | 2018-03-17 |