| NPI | 1710145990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 23909) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.014319) |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2008-05-24 |