| NPI | 1871558601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT29287) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT006213L) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2015-11-12 |