| NPI | 1679783500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 20831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05001307A) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |