| NPI | 1528241627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11570) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23746) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2009-12-10 |