| NPI | 1538478953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23338) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2013-06-07 |