| NPI | 1770861312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28979) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: FL 28979) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2018-03-17 |