| NPI | 1538464144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29776) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3685) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2015-01-22 |