| NPI | 1689782138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 13317) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7156) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-11-15 |