| NPI | 1659679892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT30205) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: PA PT013127L) |
| Enumeration Date | 2011-03-12 |
| Last Update Date | 2015-07-03 |