| NPI | 1669406039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT11547) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: FL CFo02996) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-11-04 |