| NPI | 1770692089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23770) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5064) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-06-14 |