| NPI | 1881719904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 8615) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-03-28 |