| NPI | 1689905275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 25055) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22798) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |