NPI | 1851622302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT25126) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 38181) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2015-03-30 |