| NPI | 1730202532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22538) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000007742) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2010-05-12 |