| NPI | 1467411405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24934) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT005446L) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2009-09-03 |