| NPI | 1518188374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 11208) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9251) |
| 225100000X Physical Therapist (Licence: NJ 40QA00616300) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-05-23 |