| 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 |