| NPI | 1639323306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT25103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18466) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2013-10-17 |